<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">OJAppS</journal-id><journal-title-group><journal-title>Open Journal of Applied Sciences</journal-title></journal-title-group><issn pub-type="epub">2165-3917</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/ojapps.2013.34040</article-id><article-id pub-id-type="publisher-id">OJAppS-35005</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject><subject> Chemistry&amp;Materials Science</subject><subject> Computer Science&amp;Communications</subject><subject> Engineering</subject><subject> Physics&amp;Mathematics</subject></subj-group></article-categories><title-group><article-title>
 
 
  A Laminar Flow Model for Mucous Gel Transport in a Cough Machine Simulating Trachea: Effect of Surfactant as a Sol Phase Layer
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>ipak</surname><given-names>Kumar Satpathi</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Addepalli</surname><given-names>Ramu</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Department of Mathematics, BITS Pilani Hyderabad Campus, Hyderabad, India</addr-line></aff><author-notes><corresp id="cor1">* E-mail:<email>dipak@hyderabad.bits-pilani.ac.in(IKS)</email>;<email>aramu@hyderabad.bits-pilani.ac.in(AR)</email>;</corresp></author-notes><pub-date pub-type="epub"><day>22</day><month>07</month><year>2013</year></pub-date><volume>03</volume><issue>04</issue><fpage>312</fpage><lpage>317</lpage><history><date date-type="received"><day>June</day>	<month>3,</month>	<year>2013</year></date><date date-type="rev-recd"><day>July</day>	<month>3,</month>	<year>2013</year>	</date><date date-type="accepted"><day>July</day>	<month>10,</month>	<year>2013</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
   In this paper, a planar three layer quasisteady laminar flow model is proposed in a cough machine which simulates mucous gel transport in model trachea due to mild forced expiration. The flow is governed by the time dependent pressure gradient generated in trachea due to mild forced expiration. Mucous gel is represented by a viscoelastic Voigt element whereas sol phase fluid and air are considered as Newtonian fluids. For fixed airflow rate, it is shown that when the viscosity of mucous gel is small, mucous gel transport decreases as the elastic modulus increases. However, elastic modulus has negligible effect on large gel viscosity. It is also shown that for fixed airflow rate and fixed airway dimension, mucous gel transport increases with the thickness of sol phase fluid and this increase is further enhanced as the viscosity of sol phase fluid decreases. The effect of surfactant is studied by considering sol phase as surfactant layer which causes slip at the wall and interface of sol phase and mucous gel. It is found that in the presence of surfactant mucous gel transport is enhanced.  
     
 
</p></abstract><kwd-group><kwd>Mucous Gel; Sol Phase; Surfactant; Laminar Flow; Trachea; Voigt Element</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Mucociliary clearance is an important pulmonary defense mechanism that serves to remove inhaled substances from the lung. It depends upon the relationship between cilia, mucus and periciliary fluid. The mucociliary function is depressed by a variety of water soluble atmospheric pollutants such as SO<sub>2 </sub>and NO<sub>2</sub> [<xref ref-type="bibr" rid="scirp.35005-ref1">1</xref>]. The presence of surfactant in the mucoserous lining of airways helps in increasing the mucus transport and has been investigated experimentally [2-5]. It was pointed out that surfactant caused relative increase in transport rate [<xref ref-type="bibr" rid="scirp.35005-ref2">2</xref>]. It was also showed that in presence of surfactant mucus transport is more [3,5]. Bronchial surfactant is essential for bronchoalveolar transport mechanisms including ciliary and non-ciliary mucus transport [<xref ref-type="bibr" rid="scirp.35005-ref4">4</xref>]. In [<xref ref-type="bibr" rid="scirp.35005-ref5">5</xref>], Rubin et al. showed that surfactant therapy appears to improve mucus clearability.</p><p>In the case of pulmonary diseases (cystic fibrosis, chronic bronchitis, etc.) excessive amount of mucus is formed in the respiratory tract, which is transported mainly by coughing or forced expiration. This transport also depends upon the depths of mucus and serous layers and the rheological properties of mucus [<xref ref-type="bibr" rid="scirp.35005-ref6">6</xref>]. Mucus transport in a cough machine has been studied by a group of investigators under external applied pressure gradient [6-13]. In [7,8], Scherer and Burtz conducted fluid mechanical experiments relevant to coughing, using air and liquid blown out of a straight tube by turbulent jet. They showed that the liquid transport decreases as the viscosity of liquid increases by assuming that the flow is quasi-steady and turbulent stress of air is equal to viscous stress in the liquid. In [9-11], King and co-investigators in their experiments have shown that the transport increases with the increase in the thickness of mucous gel air flow rate and with the decrease in its elastic modulus. It was observed that mucous gel transport in a simulated cough machine increases as the viscosity of serous layer simulates decreases [6,12,13].</p><p>It may be noted that no mathematical model is developed so far to explain the above experimental observations, particularly with surfactant as a sol phase layer. In view of this, in this paper, we present a quasi-steady state three layer laminar flow model (mucous gel as viscoelastic Voigt element, air and surfactant sol phase fluid as Newtonian fluids) for mucous gel transport in a cough machine simulating trachea by considering the surfactant sol phase as serous layer. Due to the presence of surfactant, the slip effects at the boundaries of the surfactant layer are taken into account in the model. It is assumed that the gel transport is caused by a time dependent pressure gradient due to mild forced expiration.</p></sec><sec id="s2"><title>2. Modelling and Solution</title><p>We consider the quasi-steady state simultaneous laminar flow of surfactant sol phase fluid, viscoelastic mucous gel and air in a rectangular channel, relevant to mucous gel transport in a cough machine simulating a model trachea. The flow assumed to be caused by a time dependent pressure gradient generated by air motion simulating mild forced expiration in trachea. The flow geometry is shown in <xref ref-type="fig" rid="fig1">Figure 1</xref>, where surfactant sol phase fluid <img src="4-2310163\fb7ac294-becd-4f2f-9f2f-5b89a5df5bc0.jpg" /> mucous gel <img src="4-2310163\24f869f3-65e4-444f-88a2-788b22615327.jpg" /> and air <img src="4-2310163\c1a62a9c-c7b0-498e-908c-b7cfd5dee706.jpg" /> regions are indicated.</p><p>The equations governing the laminar flow of surfactant sol phase fluid, viscoelastic mucous gel and air under quasi-steady state condition can be written as follows:</p><p>Region I <img src="4-2310163\105b569a-e2f1-417b-8b7a-4db6053d6fa8.jpg" /> surfactant sol phase</p><disp-formula id="scirp.35005-formula94047"><label>(1)</label><graphic position="anchor" xlink:href="4-2310163\5017f719-e1f2-4016-adf4-529b361b3e59.jpg"  xlink:type="simple"/></disp-formula><p>Region II <img src="4-2310163\4893d3c6-14b3-4f67-b515-0e914d0fa240.jpg" /> mucous gel</p><disp-formula id="scirp.35005-formula94048"><label>(2)</label><graphic position="anchor" xlink:href="4-2310163\649e646c-f0f6-482f-8512-d4a7399d626b.jpg"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.35005-formula94049"><label>(3)</label><graphic position="anchor" xlink:href="4-2310163\03563e97-d589-4b8a-8aee-2d8ff660965a.jpg"  xlink:type="simple"/></disp-formula><p>Region III <img src="4-2310163\6f7902e7-605f-4121-bc77-0b6e39bdb75d.jpg" /> air</p><disp-formula id="scirp.35005-formula94050"><label>(4)</label><graphic position="anchor" xlink:href="4-2310163\50e27f48-4ef5-4d25-b951-92cb10a2d6a4.jpg"  xlink:type="simple"/></disp-formula><p>where <img src="4-2310163\9bab8a75-8434-4206-b1fc-a5ff83f88aba.jpg" /> is the time, <img src="4-2310163\87610057-e99c-4e75-8408-e5e09e8806c1.jpg" />is the coordinate in the direction of the flow, <img src="4-2310163\640cd2e8-f2a7-4677-aab0-1850e0fea9e5.jpg" />is the co-ordinate perpendicular to fluid flow, <img src="4-2310163\157408b3-82ca-4122-b506-d758aac2bca4.jpg" />is the pressure; <img src="4-2310163\7b1cfbfd-c22f-4c02-945b-3b21e501724a.jpg" />are the velocity components of sol phase fluid, mucous gel and air in the flow direction; <img src="4-2310163\7db0ac39-b020-4d79-9842-39a2bdfe44f7.jpg" />are their respective densities and viscosities, G is the elastic modulus of mucous gel and <img src="4-2310163\9021217e-db0e-4a20-b41a-37796bda5340.jpg" /> is the shear stress in the mucous gel layer; <img src="4-2310163\f645260e-17ee-4bdb-ba00-eeb6e50cd217.jpg" />is the shear stress in the sol phase layer and <img src="4-2310163\5efd4aa2-4c33-4bfd-9f92-f1baa865ac4f.jpg" /> is the shear stress in the air region. It is assumed that mucous gel behaves like a viscoelastic Voigt element whose constitutive equation is given by equation (3) [<xref ref-type="bibr" rid="scirp.35005-ref14">14</xref>].</p><p>Mild forced expiration is a short time phenomena and a time dependent pressure gradient is generated in trachea. Therefore, we assume that</p><disp-formula id="scirp.35005-formula94051"><label>(5)</label><graphic position="anchor" xlink:href="4-2310163\2f582769-818f-42c8-bc09-cf353c2aeff2.jpg"  xlink:type="simple"/></disp-formula><p>and <img src="4-2310163\a5271855-1fa1-4887-b9de-e8b8db2f6cd8.jpg" /> is given by</p><p><img src="4-2310163\1a603c12-ce38-403b-85c3-2df4c71840ed.jpg" /></p><p>where <img src="4-2310163\ad32c5bf-9112-4c31-b92c-017a96a669f4.jpg" /> is the time, T is the duration of mild forced expiration and <img src="4-2310163\7ee05b66-26bd-454f-868b-5cb15c602093.jpg" /> is a constant (independent of time). The function <img src="4-2310163\5557c06d-2ac4-44c5-94c4-0720d36dc54f.jpg" /> is plotted in <xref ref-type="fig" rid="fig2">Figure 2</xref> for various T.</p><p>Since initially there is no pressure gradient, one can assume that the velocities and stresses are zero, therefore, the initial conditions are</p><disp-formula id="scirp.35005-formula94052"><label>(6)</label><graphic position="anchor" xlink:href="4-2310163\cba0bc9a-18ff-432c-ad58-032a2f8804dd.jpg"  xlink:type="simple"/></disp-formula><p>The boundary and matching conditions for the system (1) - (4) can be written as follows:</p><p>Boundary conditions:</p><disp-formula id="scirp.35005-formula94053"><label>(7)</label><graphic position="anchor" xlink:href="4-2310163\aef8a9c0-a819-4a26-836b-fffefa3b339d.jpg"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.35005-formula94054"><label>(8)</label><graphic position="anchor" xlink:href="4-2310163\ede1efa5-cebc-4674-8ad8-716da585e6af.jpg"  xlink:type="simple"/></disp-formula><p>Matching conditions:</p><disp-formula id="scirp.35005-formula94055"><label>(9)</label><graphic position="anchor" xlink:href="4-2310163\ab555273-96a3-4f3b-9104-ade6712f6c18.jpg"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.35005-formula94056"><label>(10)</label><graphic position="anchor" xlink:href="4-2310163\a860be91-8642-4564-8ee7-03ad32c6adbd.jpg"  xlink:type="simple"/></disp-formula><p>In equation (7) the right hand side represents the slip velocity at the surface <img src="4-2310163\af3f40a4-fcd7-4609-bc2a-e8bb935dba2c.jpg" /> which is caused by the slipperiness of the surfactant sol phase. Similarly in equation (9), the second term on the right hand side represents slip velocity at the interface <img src="4-2310163\c1bf8174-44ab-49a6-a74d-dea0c157a126.jpg" /> and thus the condition of the continuity of the velocities at the interface <img src="4-2310163\e89e1410-ca4f-4121-835e-c2f955377338.jpg" /> is still valid. <img src="4-2310163\acb8a0fa-6185-44c5-b164-4504b185fb4c.jpg" />and <img src="4-2310163\10393a0d-8d2a-44e0-af2a-990a1fcc121f.jpg" /> in equations (7) and (9) are called the slip coefficients [<xref ref-type="bibr" rid="scirp.35005-ref15">15</xref>]. The corresponding slip velocities increase as slip coefficients increase. In a particular case, when <img src="4-2310163\0b91443a-06fd-49b4-8943-6c8ef89f492a.jpg" /> the conditions (7) and (9) reduce to usual no-slip conditions.</p>Calculation of Flow Rates<p>Solving the equations (1)-(4) along with the initial, boundary and matching conditions (6)-(10), the expressions for the velocity components can be found as the following.</p><disp-formula id="scirp.35005-formula94057"><label>(11)</label><graphic position="anchor" xlink:href="4-2310163\3cd72a14-2bdf-47b9-84f6-88e5967a1d65.jpg"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.35005-formula94058"><label>(12)</label><graphic position="anchor" xlink:href="4-2310163\b2af9186-9193-449e-acc1-c0b9b80d4a50.jpg"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.35005-formula94059"><label>(13)</label><graphic position="anchor" xlink:href="4-2310163\57665463-9e8c-49da-84ea-d877bc98540d.jpg"  xlink:type="simple"/></disp-formula><p>here, <img src="4-2310163\898366ab-7c7c-4706-9f66-2ab66f9bfb38.jpg" />denotes the differentiation of <img src="4-2310163\25dcfdb1-c294-4087-82a8-109898225d2c.jpg" /> with respect to <img src="4-2310163\8b62b522-ae06-467c-9730-b72284510e49.jpg" /> and the expressions for <img src="4-2310163\218340ab-1fec-4ea4-9307-5f631f15b854.jpg" /> and <img src="4-2310163\6cbed820-1805-4a54-87df-45bc9fe840fa.jpg" /> are given by the following.</p><disp-formula id="scirp.35005-formula94060"><label>(14)</label><graphic position="anchor" xlink:href="4-2310163\0a96271a-0ca3-4c1f-a64c-dd053a4109bd.jpg"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.35005-formula94061"><label>(15)</label><graphic position="anchor" xlink:href="4-2310163\4bd6d8ab-101a-49dc-9920-4b31bbfdc39b.jpg"  xlink:type="simple"/></disp-formula><p>where</p><p><img src="4-2310163\3fd42971-2cfb-42e9-9ff8-0bbf7b29672b.jpg" /></p><p><img src="4-2310163\835723d0-dc5c-4b3d-8824-1be17b89deff.jpg" /></p><p><img src="4-2310163\7fd0588b-8dee-4775-9014-5a766a76c4d0.jpg" /></p><p><img src="4-2310163\d9164aeb-33fb-4654-8cb4-b0dc4f26eaf5.jpg" /></p><p><img src="4-2310163\6e633411-15a5-4150-88a8-ef60ccb4e98b.jpg" /></p><p><img src="4-2310163\3aca18d0-f963-4f03-a3dd-c64f30d964bd.jpg" /></p><p>The Volumetric flow rates per unit thickness in each of the layer are</p><p><img src="4-2310163\5f79b24b-5ec8-4e5e-a423-9dac46787cd1.jpg" /></p><p>which after using equations (11)-(13) can be found as</p><p><img src="4-2310163\4b3cccdc-d9d9-40cc-bd56-d63ca5f9be77.jpg" /></p><p>(16)</p><disp-formula id="scirp.35005-formula94062"><label>(17)</label><graphic position="anchor" xlink:href="4-2310163\7b026bd5-42ac-487a-a827-8c65faf9bdfa.jpg"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.35005-formula94063"><label>(18)</label><graphic position="anchor" xlink:href="4-2310163\48d82903-3684-4c1d-b199-a6c0c4794bde.jpg"  xlink:type="simple"/></disp-formula><p>The average flow rates in each layer can be defined as</p><p><img src="4-2310163\267cf014-f84e-4ef3-9bb9-3d58d18c3686.jpg" /></p><p>which after using equations (16)-(18) can be written as</p><disp-formula id="scirp.35005-formula94064"><label>(19)</label><graphic position="anchor" xlink:href="4-2310163\3c90dbd8-c071-4ce7-a0ad-dc2b78a2c833.jpg"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.35005-formula94065"><label>(20)</label><graphic position="anchor" xlink:href="4-2310163\bc0b425d-ec21-4922-ade7-06f4017f73fd.jpg"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.35005-formula94066"><label>(21)</label><graphic position="anchor" xlink:href="4-2310163\4a8a825e-c889-4d22-bcec-f31a2e43eb0b.jpg"  xlink:type="simple"/></disp-formula><p>Where,</p><p><img src="4-2310163\6630950f-0c4c-4928-8e02-906501d2bcf4.jpg" /></p><p>(22)</p><p><img src="4-2310163\919f19ba-340f-4c0a-ba36-3f9bd38d3abf.jpg" /></p><p>(23)</p><p>In a particular case, when mucus behaves as a Newtonian fluid i.e. <img src="4-2310163\63bfa029-f047-4cef-9656-048816b36f80.jpg" />the expressions for <img src="4-2310163\e2678352-9e81-4547-8a04-350da36668b7.jpg" /> and <img src="4-2310163\b59a01d0-64cd-4312-968f-50e742569c77.jpg" /> reduce to</p><disp-formula id="scirp.35005-formula94067"><label>(24)</label><graphic position="anchor" xlink:href="4-2310163\58677296-b7ad-4ea9-a296-b4266a7f0731.jpg"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.35005-formula94068"><label>(25)</label><graphic position="anchor" xlink:href="4-2310163\37c21574-2125-4b4b-b5d0-f71e419ba1a1.jpg"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.35005-formula94069"><label>(26)</label><graphic position="anchor" xlink:href="4-2310163\34d8fec4-21fe-4c7c-8a1f-f52d7e31cac1.jpg"  xlink:type="simple"/></disp-formula></sec><sec id="s3"><title>3. Results and Discussion</title><p>The effects of rheological properties of mucous gel and its thickness, viscosity and thickness of sol phase fluid, slipperiness caused by surfactant sol phase and air flow rate on mucous gel flow rate are shown by plotting the expressions for <img src="4-2310163\304e105e-8126-4225-a08e-02b4711d0bad.jpg" /> given by equation. (20) in Figures 3-6( after eliminating <img src="4-2310163\e34b50fa-b7cf-4a24-afc8-9b70dd3bc018.jpg" /> with the help of equation (21)). The values of various parameters are taken as in the following [6,10,16-20].</p><p>Diameter of model trachea<img src="4-2310163\64b62b22-62ab-4413-9a06-fce2c2f2ebef.jpg" />.</p><p>Thickness of mucous gel<img src="4-2310163\1b12d890-ebd8-4bc5-bed0-2ccbe7e1b08a.jpg" />.</p><p>Thickness of sol phase<img src="4-2310163\31d670e1-fa3b-4dea-a69a-6aefa9150b9b.jpg" />.</p><p>Viscosity of air<img src="4-2310163\fafb5056-cec7-4f50-bc4c-e2264ab026bc.jpg" />.</p><p>Viscosity of mucous gel<img src="4-2310163\1ff0786f-8c1b-4086-b04b-3cc9fb745006.jpg" />.</p><p>Viscosity of sol phase<img src="4-2310163\e77535a1-75c1-4252-bdd0-bf5573097489.jpg" />.</p><p>Elastic modulus of mucous gel (G):</p><p><img src="4-2310163\78367c52-922b-4090-bd0b-ced95f8ecf81.jpg" />.</p><p>In our calculation, we assume</p><p><img src="4-2310163\94cbfd47-850e-4985-a91f-b85a7c1039c3.jpg" />and<img src="4-2310163\9b4a3b2f-136d-45db-a5f9-90ae5c486ae9.jpg" />.</p><p><xref ref-type="fig" rid="fig3">Figure 3</xref> is a plot of mucous gel flow rate versus airflow rate for different <img src="4-2310163\8ba7255a-6e3e-4e75-b775-4a79c0869822.jpg" /> From this figure, it is observed that the effect of elastic modulus depends upon the magnitude of the viscosity of mucous gel. For less viscous mucous gel, <xref ref-type="fig" rid="fig3">Figure 3</xref>(a) shows that the gel flow rate decreases as the elastic modulus increases. This implies that the flow rate decreases when mucous gel becomes more elastic, suggesting that the efficient transfer</p></sec></body><back><ref-list><title>References</title><ref id="scirp.35005-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Wanner, “Clinical Aspects of Mucociliary Transport,” American Review of Respiratory Disease, Vol. 116, No. 1, 1977, pp. 73-125.</mixed-citation></ref><ref id="scirp.35005-ref2"><label>2</label><mixed-citation publication-type="other" xlink:type="simple">L. Allegra, R. Bossi and P. Barga, “Influence of Surfac tant on Mucociliary Transport,” European Journal of Re spiratory Diseases, Vol. 67, Suppl. 142, 1985, pp. 71-76.</mixed-citation></ref><ref id="scirp.35005-ref3"><label>3</label><mixed-citation publication-type="other" xlink:type="simple">H. Kai, M. 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